NPI | 1710213947 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID S. BRYANT Owner 770-389-9116 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: GA 052394) |
Additional Taxonomies | 174400000X Specialist (Licence: GA 005538) |
Enumeration Date | 2009-10-22 |
Last Update Date | 2011-03-23 |